Individual
CLAIRE MEGAN CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 BLACK SWAN DRIVE, SUITE 201, LEWES, DE 19958-4988
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 451-6913
(302) 368-7756
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1900
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E10000199
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
PL00000803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184681488
COMMERCIAL INSURANCES
—
01
—
1760661078
GREAT WEST HEALTHCARE
—
05
—
1760661078
—
DE
05
—
203612101
—
TX
01
—
203612102
CSHCN
TX
01
—
349330
UNISON HEALTH PLAN
—
Enumeration date
11/02/2007
Last updated
01/23/2020
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